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500160-Complex-Adult-Seating-Clinic-Referral-2019-08-3.pdf

Please Note: If you require assistance for providing basic needs while attending clinic, a caregiver must accompany you....Date: YYYY/MM/DD Referring Physician (please print):...Time: HH:MM...
https://www.southeasthealthline.ca/pdfs/500160-Complex-Adult-Seating-Clinic-Referral-2019-08-3.pdf

rac_lbp_patient_intake_form_march_2020.pdf

I have support from people who can assist me with activities in the home, work or community? ...(check one)... Strongly Agree  Agree  Neutral  Disagree  Strongly Disagree...PATIENT INTAKE...
https://www.southeasthealthline.ca/pdfs/rac_lbp_patient_intake_form_march_2020.pdf

CPC Patient Information Sheet

BussieDh...Ministry of Health ...Ontario Community Physiotherapy Clinic...Program: Patient Information...Questions? ...Please visit:...www.ontario.ca/physiotherapy...Ontario’s Community Physiotherapy...
https://www.southeasthealthline.ca/pdfs/Napanee%20Physiotherapy%20and%20Rehabilitation%20-%20OHIP%20Insured%20Physiotherapy%20Information.pdf

Comfort Keepers Transportation

Rebecca Phillips...Comforting Transportation:...A Safe and Affordable Experience!...Rather than relying upon family or friends,...Comfort Keepers® can help to provide...convenient, escorted...
https://www.southeasthealthline.ca/pdfs/Comfort%20Keepers%20Transportation.pdf

CPHC Brochure

User...Senior Support Services...Supporting Seniors Independence...at Home and in the Community....OUR MISSION......To provide client centered...services for seniors and their...care givers which promote
https://www.southeasthealthline.ca/pdfs/sss_general_brochure_of_services.pdf

“APPLICATION TO REGISTER” For Health Services

Do you require any assistance? ...(Please include: mobility aids, hearing aids, visual difficulties,...etc) _________________________________________________________________________...How did you...
https://www.southeasthealthline.ca/pdfs/BQWCHC_application_referral_form_oral_Health_Services.pdf